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About the Manual

Unlike most other cancers, cervical cancer can be prevented through screening programs designed to identify and treat precancerous lesions. Still, more than 490,000 new cases of cervical cancer occur among women worldwide each year (Ferlay et al. 2004). Approximately 80% of all cases of cervical cancer worldwide occur in less-developed countries, because prevention programs are either nonexistent or poorly executed. In response to this situation, the ACCP has collaborated in over 50 countries to:
  • Assess innovative approaches to screening and treatment.
  • Improve service delivery systems.
  • Ensure that community perspectives and needs are incorporated into program design and used to develop appropriate mechanisms for increasing utilization.
  • Heighten awareness of cervical cancer and effective prevention strategies.

Planning and Implementing Cervical Cancer Prevention and Control Programs: A Manual for Managers has been developed to help management teams plan, implement, and monitor cervical cancer prevention and control services. These teams consist of program directors, district and facility managers, supervisors, trainers, administrators, and technical advisors, depending on the different countries or programs. Ultimately, this manual aims to contribute to global efforts to improve women’s health by promoting appropriate, affordable, and effective service delivery mechanisms for cervical cancer prevention and control.

The manual focuses on the generic program elements crucial to the success of cervical cancer prevention and control programs and deals with the full continuum from prevention via screening and treatment to palliative care. It presents various service delivery options applicable to different geographic and cultural settings, and to a range of resource levels. Management teams will need to select program approaches that best suit their specific setting and program goals.

This manual is written on the assumption that certain key decisions have already been made by national or subnational policymakers about the specifics of the cervical cancer prevention program that will be put in place in their country, region, state, or province. Such decisions include what screening and treatment options and service delivery approach to use, target age group, coverage goals, screening frequency, regulations permitting providers at various levels to perform necessary procedures, and whether to establish vertical or integrated programs. Therefore, detailed information on guidelines for clinical practice and policy decisions for cervical cancer prevention and control are not included in this document. For such information, the reader should refer to documents such as the World Health Organization’s (WHO) forthcoming publication, Comprehensive Cervical Cancer Control: A Guide for Essential Practice, the International Agency for Research on Cancer’s (IARC) forthcoming Handbooks of Cancer Prevention, Volume 10: Cervix Cancer Screening, and WHO’s National Cancer Control Programmes: Policies and Managerial Guidelines. However, basic information is provided here-e.g., features xiv and resources required for the various screening and treatment options and service delivery approaches—to assist the management team in implementing the policy decisions.

The four parts of this manual provide the information required for the key tasks to be carried out by management teams. Although the chapters follow a logical sequence for planning and implementing a program, each chapter can also be read independently, with cross-referencing where appropriate between the chapters.

Due to this publication's large file size, it is divided here into 6 Portable Document Format (PDF) files for downloading, or it can be downloaded as one, large PDF:

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